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To stop arthritis from progressing, you need to avoid running, squatting, jumping, stairs, cross legged sitting. Do weight reduction and quadriceps and hamstring strengthening exercises.

Although fluoxetine and tramadol are both related to chemical levels in the brain, it is still not safe to mix them. In other words, their simultaneous consumption can intensify the likelihood of serotonin syndrome, a critical ailment that manifests symptoms such as confusion, sweating, and fast heartbeat. The best course of action would be for your physician to advise you on alternative pain relief options that are safe for you. 

Febuxostat is a medicine for gouty arthritis and loke drugs for hypertension, Diabetes and thyroid the medicine for gout also should not be stopped. Yes it's dose can be manipulated.

This could indicate a serious ankle injury, possibly a fracture. It's crucial to seek immediate medical attention to determine the extent of the damage and receive proper treatment. Rest, elevate your leg, and apply ice in the meantime, but prioritize getting medical help as soon as possible for an accurate diagnosis and appropriate care.

You need to rest and avoid excessive strain. You may take pain killers, try heat or cold therapy. Do gentle stretching exercises and maintain good posture. 

Sharp pain in the heel should be treated by visiting an orthopedic specialist. This pain may result from different conditions, including plantar fasciitis Achilles tendonits stress fractures. Although OTC pain relievers may provide short-term relief, it is always advisable to consult a doctor for an accurate diagnosis and treatment plan.